| NPI | 1376669721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC STRONGIN Business Administration 773-878-7909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 060008296) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |