| NPI | 1801156740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM J. COHEN President 847-834-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 36112540) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2013-02-11 |