| NPI | 1356577894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMA HANNA Physician 847-778-6572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IL 036119286) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |