| NPI | 1396002408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE LAZATIN Managing Director 630-917-1062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2019-02-25 |