| NPI | 1982829321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALONSO MARTINEZ President 847-996-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036099225) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |