| NPI | 1093025496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE GINSBERG Owner 630-232-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 038-006842) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |