| NPI | 1184051138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTURO ORTEGA Pharmacist 815-397-1587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2013-10-07 |