| NPI | 1265565444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUST MARTINUCCI Medical Director 630-378-1760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 060.008568) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-07-19 |