NPI | 1740500578 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID M DREXLER President 847-996-0671 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 036103496) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2010-06-03 |