| NPI | 1043725179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEYANNE MARIE CASAS Owner/President/Employee 630-624-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: TX p4636) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |