| NPI | 1922134808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ MERCADO Office Coordinator 847-998-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036091411) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |