NPI | 1568591956 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN L. FARQUHAR President 847-217-5434 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ 1567) |
Enumeration Date | 2007-03-03 |
Last Update Date | 2009-05-19 |