| NPI | 1164603056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTTO R GARCIA MONTENEGRO President 708-345-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 036098564) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |