| NPI | 1750984019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEVGENY BULBIN CEO 847-845-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2024-07-01 |