| NPI | 1326574591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GEORGE BARKER Son 708-334-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281PC2000X Chronic Disease Hospital, Children (Licence: IL b62662797063) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |