| NPI | 1083888093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANCHANA ESARIYA UMPAI President 815-744-2556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036060991) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2012-05-01 |