| NPI | 1699109041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FROHM CEO 630-730-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 038006364) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |