| NPI | 1932309259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BENJAMIN YOUNAN Administrator 847-297-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: 200572442) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2008-12-04 |