| NPI | 1184632051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO ADALBERTO OJEA Owner 773-334-9056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036061009) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2013-08-14 |