| NPI | 1134294531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL N MOSQUERA President 773-561-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036085316) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |