| NPI | 1588811350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS KOERNER Owner 312-842-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036099238) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 36050106) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-10-14 |