| NPI | 1538265616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANN BARDACK President 630-915-4019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 109696) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |