| NPI | 1225163967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONITH BREADON Owner Proprietor Head Physician 312-733-2498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036059834) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-04-20 |