| NPI | 1578654075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J CHAROUS President 847-729-9122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036084409) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-11-13 |