| NPI | 1346503539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIANG YANG Physician Assistant 630-357-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085002931) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |