| NPI | 1235361379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM W. SYCHANGCO President 773-772-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036048417) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |