| NPI | 1467652669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B ZENN Executive Vice President 847-618-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 0001701) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-08-22 |