| NPI | 1275892333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TEWS Licensed Clinical Professional 630-261-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |