| NPI | 1366579443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CULLY CHAPMAN Chief Financial Officer 630-856-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 207N00000X Dermatology | |
| 207V00000X Obstetrics & Gynecology | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-11-14 |