| NPI | 1386682714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR PODOLSKIY Medical Director 847-918-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036111753) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |