| NPI | 1942498209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA GORELIK Owner/M.D. 847-432-7830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036071566) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2020-03-18 |