| 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 |