| NPI | 1952629552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA KAY MURSU President 847-730-5618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 038011300) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2011-01-13 |