| NPI | 1588078844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ROSENBLOOM Owner 847-563-4493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IL 336047254) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |