| NPI | 1043679400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY BIALOWAS President 773-283-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 36071723) |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2016-02-14 |