| NPI | 1063560738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA E CASTELLANOS President 773-252-1147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 55812) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |