| NPI | 1750522116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRILL KEN GALERA President 630-589-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036112459) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |