| NPI | 1699586909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN MICHAEL GOROSPE Managing Director 847-252-1858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2026-06-30 |