NPI | 1972995363 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID OLER Director 847-951-2570 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X (Licence: IL 071.006411) |
Additional Taxonomies | 251S00000X (Licence: IL 178.010376) |
Enumeration Date | 2015-02-23 |
Last Update Date | 2015-02-23 |