| NPI | 1326129636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DAVID RIESELMAN Director 630-795-1889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 060008903) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-01-02 |