| NPI | 1225101926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDILBERTO ELAZEGUI NEPOMUCENO VP/Treasurer 708-799-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036069957) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2021-03-31 |