| NPI | 1154376234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATALINA ANCA GRIJA Owner/President 708-358-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036096835) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2011-10-11 |