| NPI | 1922312198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE BRASWELL Office Manager 847-827-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036108886) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |