| NPI | 1760627137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JEROME BENDITZSON President 312-266-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036040406) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |