| NPI | 1881903789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY CLARKE President/Owner 312-236-3175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036-071641) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |