NPI | 1043474893 |
---|---|
Entity Type | Organization |
Authorized Contact | LYDIA DIZON JAZMINES President 630-922-3922 |
Organization Subpart ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics Clinical Genetics (M.D.) (Licence: IL 036055400) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2008-07-10 |