| NPI | 1588930861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON ANGEL GONZALEZ Owner 847-392-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036094195) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-05-03 |