| NPI | 1164823779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL GOMEZ President/Owner 847-894-0755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036066870) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2023-01-09 |