| NPI | 1740690494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON GURVICH Owner 847-293-7375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.006769) |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2024-12-11 |