| NPI | 1851489751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A NELLESSEN Vice President 847-439-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 042-001123) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |