NPI | 1275031130 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS G. SALVI Physician Owner 224-333-0928 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036085984) |
Enumeration Date | 2018-01-25 |
Last Update Date | 2018-01-31 |