NPI | 1861485658 |
---|---|
Entity Type | Organization |
Authorized Contact | EUGENE POMERANETS Owner/Md 847-245-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2005-08-26 |
Last Update Date | 2021-12-23 |