| NPI | 1528538600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY DIZON President 847-444-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2021-08-16 |