| NPI | 1700802956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT J. MILLER Officer Of Corporation 847-432-7199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 0420003000) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |