| NPI | 1174808828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GREGORY STRIEGEL Physician 708-543-1932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 36093927) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-12-13 |