| NPI | 1356452726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGOT ALEXANDRA LACAVA Office Manager 847-695-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-065641) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-04-16 |