| NPI | 1952599482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JURGEN KIEFER President 847-827-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036059034) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |