| NPI | 1699958207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BRODSKY President 847-626-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2021-08-30 |