| NPI | 1275702888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTO MALIAKKAL President 630-835-7613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036083220) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2023-05-31 |