| NPI | 1508858093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE STEFANIW-GOTTLIEB President 630-788-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 209001367) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 209001367) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2020-08-22 |