NPI | 1841306321 |
---|---|
Entity Type | Organization |
Authorized Contact | JO ANNE LIGHTFOOT Billing/Medical Records/Credentiali 847-259-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-08-21 |
Last Update Date | 2010-03-19 |