| NPI | 1841363850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BELL Practice Manager 708-524-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 042618366) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2013-02-12 |