| NPI | 1164848750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEETAL SHARMA Doctor 630-901-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IL 019028573) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |