| NPI | 1568524924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S MILLER Medical Director 847-498-3736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: IL 181-000226) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |