| NPI | 1750431847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE V TAYLOR Sole Proprietor 773-375-8366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036085106) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-09-19 |