| NPI | 1881946200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNWOOD JONES President 847-981-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 042620046) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |