| NPI | 1386995058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DACY Executive Director 847-208-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 6) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2022-07-21 |