| NPI | 1750506077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SERAFINI Medical Director 847-283-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: IL 036-104819) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038010204) |
| 207Q00000X Family Medicine (Licence: IL 036104819) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-05-01 |