| NPI | 1629297486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA SCOTT CHISLOF President 847-588-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 038004506) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-06-03 |