| NPI | 1225270168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY STEVEN SADLER Executive Director 773-785-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 149005051) |
| Additional Taxonomies | 251S00000X (Licence: IL 149003205) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2010-02-18 |