| NPI | 1649359969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE VELOSO FLORENTINO Vice President & Treasurer 847-695-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-12-06 |