| NPI | 1245736941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE M. H. JENKINS Physician, Owner 630-697-0742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OH 131434) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |