| NPI | 1295981264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY EDWARD WILLIAMSON President 630-682-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 038003694) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |