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 |