NPI | 1023062460 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN M. IBARRA President/Owner 815-235-2353 |
Organization Subpart ? | No |
Primary Taxonomy | 173000000X Legal Medicine (Licence: IL 036082621) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2010-03-29 |