NPI | 1871705368 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAIRE N SUTTON President Owner 630-689-4944 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 042619030) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2012-07-11 |