| NPI | 1770036444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYER ZAYAN Owner/Medical Director 847-343-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036060803) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2022-09-09 |