| NPI | 1093938748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE M ROSALES Chief Financial Officer 630-907-3944 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: IL 042-007794) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2015-12-14 |