| NPI | 1477181782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JOSEPHINE RANSFORD President 847-675-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |