| NPI | 1306299250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOSEPH HUNNIUS Owner 773-480-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036123928) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2021-01-23 |