| NPI | 1952628018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE LERNER Physician 708-494-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 042619614) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |