| NPI | 1184801706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHER BALA MEDAVARAM President 630-378-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 042-007177) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |