| NPI | 1811154024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY SAYCHALEUNE President 847-855-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IL 046008961) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-10-30 |