| NPI | 1073567541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE PIMENTEL Pres. 773-736-4444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036111599) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2012-02-21 |