| NPI | 1366618043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA H. MILLER Office Manager 847-623-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 10575820) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |