| NPI | 1114119245 | 
|---|---|
| Doing Business As | CENTER STREET MEDICAL | 
| 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 |