| NPI | 1538477542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL CRONIN President 1815-477-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036105826) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-09-24 |