| NPI | 1043334139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA VALERIO Provider Enrollment 630-892-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2025-12-26 |