| NPI | 1841210457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RAYMOND JACOBSON President 312-421-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 042-618125) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-06-20 |