NPI | 1144482985 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN OTERO President 708-284-0574 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: PR 12838) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2008-07-01 |