| NPI | 1932264884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYER ZAYAN Medical Director 847-223-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036060803) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |