NPI | 1699897199 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON GREENSPAN Medical Director 847-897-5995 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036101234) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2008-12-02 |