NPI | 1255514089 |
---|---|
Entity Type | Organization |
Authorized Contact | GUSTAVO RICARDO SANCHEZ-VARGAS President 630-966-9701 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036098710) |
Enumeration Date | 2007-12-15 |
Last Update Date | 2008-05-14 |