| NPI | 1760613756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVE MARIE ALEXANDRE Physician 708-338-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036049409) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2010-02-02 |