| NPI | 1659537058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY TIMM Director Of Operations 312-654-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036066567) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |