| NPI | 1215203260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK VERGARA President 630-428-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 046007847) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2013-03-20 |