| NPI | 1801070206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE KIMBERLY MOLONEY President 847-864-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 036084060) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |