| NPI | 1851763213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S GARLAND President, Medical Doctor 847-433-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 248.001237) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2016-02-02 |