NPI | 1356483150 |
---|---|
Doing Business As | GEORGE CARIOSCIA |
Entity Type | Organization |
Authorized Contact | GEORGE J CARIOSCIA President 630-582-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IL 016-004560) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2024-03-24 |