| 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 |