| NPI | 1427224245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV PURI Owner 847-507-1361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 019026692) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |