| NPI | 1104948991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR MAURICIO SANCHEZ President 815-578-0224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 36095395) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-01-25 |