| NPI | 1437354966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RICAURTE Owner/Practitioner 847-387-3918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036095603) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2024-06-27 |