| NPI | 1851728802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANBING LAURA LI Owner 847-550-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036111693) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: IL 036111693) |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2013-10-07 |