| NPI | 1508180563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND POLLAK CEO 847-675-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036057804) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2021-09-27 |