| 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 |