| NPI | 1821370529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DUONG President 847-359-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036100887) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |