| NPI | 1386701415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA H. MILLER Office Manager 847-244-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036044064) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2020-08-22 |