| NPI | 1114119245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET HORNSTRA Office Manager 630-595-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IL 036082085) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2018-09-24 |