| NPI | 1851410062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD JONES President 847-480-7833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IL 056 003367) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-01-10 |