NPI | 1366851974 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW D ZAWILENSKI President 847-550-0028 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036093984) |
Enumeration Date | 2014-08-07 |
Last Update Date | 2014-10-29 |