| NPI | 1982742789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH B GOLDSTEIN President 847-824-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036052069) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-06-20 |