NPI | 1144519729 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK ALLEN KERESZTESY President/Owner 224-805-2054 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 038.011519) |
Enumeration Date | 2011-04-04 |
Last Update Date | 2011-04-20 |