NPI | 1841690823 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY SCHOFIELD Office Manager 847-785-0611 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036054557) |
Enumeration Date | 2014-08-27 |
Last Update Date | 2014-08-27 |