| NPI | 1639323942 |
|---|---|
| Doing Business As | PRIMARY CARE SKOKIE |
| Entity Type | Organization |
| Authorized Contact | AMANDO A RENIVA President 847-698-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036105799) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2016-06-04 |