| NPI | 1295900322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR L THOMAS President 708-445-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL .36078052) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |