| NPI | 1609019462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY FITCH RUBENSTEIN Pediatric Nurse Practitioner 847-570-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2022-07-21 |