| NPI | 1366535015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A COOMBS Billing/Practice Administrator 847-223-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IL 036068555) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |