| NPI | 1780942169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SCHORI President 224-558-0941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 038012108) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |