| NPI | 1497748222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MCCLOUD ALLEN Physician 847-549-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036067062) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2008-07-31 |