| NPI | 1154593051 |
|---|---|
| Former Legal Business Name | LUIS F. SANTIAGO, MD |
| Entity Type | Organization |
| Authorized Contact | LUIS F SANTIAGO President 708-780-7612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036073831) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-03-31 |