NPI | 1497104095 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY MARSHALL KOHN President 847-987-0221 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: IL 036070061) |
Enumeration Date | 2016-06-06 |
Last Update Date | 2016-06-06 |