| NPI | 1124009360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO MARTINEZ President 630-458-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036087720) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036087720) |
| Enumeration Date | 2005-11-05 |
| Last Update Date | 2014-06-25 |