NPI | 1437572831 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT MORCOTT Cheif Medical Officer 847-757-8686 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 35906-20) |
Enumeration Date | 2014-01-22 |
Last Update Date | 2019-10-08 |