| NPI | 1861526949 |
|---|---|
| Former Legal Business Name | PREVENTION SPECIALIST ,LTD |
| Entity Type | Organization |
| Authorized Contact | MITCHELL R WEISBERG Owner 847-793-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036080158) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |