| NPI | 1154648855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CESAR G MANIQUIS President/Owner 847-362-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 3648767) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2012-09-05 |