| NPI | 1457681397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DEAN MONSON Owner/President 847-472-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 038011141) |
| Enumeration Date | 2009-12-27 |
| Last Update Date | 2013-10-25 |