| NPI | 1417202839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE LEE MAROLT Social Worker 847-877-9238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: IL 149.015260) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-23 |