| NPI | 1487073508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN M YOUNG President 847-367-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 038006894) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |