| NPI | 1154491348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A BURGOS President 630-422-1917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036103673) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2011-12-01 |