| NPI | 1407922677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY M SHKLYAR Medical Director 847-548-5063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036090663) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2010-01-20 |