| NPI | 1871870683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA MOSHKOVICH Cmm, Cpc, Cemc 847-904-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.124097) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |