| NPI | 1215267067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON Y QUE President 773-838-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 36043152) |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |