| NPI | 1144266602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO CASTRO Owner 847-439-6803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 36094399) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-08-12 |