| NPI | 1265432140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH M ORLAND President 630-653-6441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 042007415) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |