| NPI | 1912383373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE HELEN AKIENS Physician 847-297-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036074625) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036074614) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2021-01-25 |