| NPI | 1437735115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MICHAEL GREENE Physician 630-569-1287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine, Sports Medicine |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-22 |