| NPI | 1235421413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR GARCIA Physician 815-936-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036.124389) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |