| NPI | 1447557723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER Interim Executive Director 847-491-2127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |