| NPI | 1104986264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M. TAGES President 630-801-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 042618392) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-03-25 |