| NPI | 1336363563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN ANTONIO TORRES-GARZA President 773-277-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 036068407) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-01-15 |