| NPI | 1356514434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIA VILLASAN TANDEZ President 847-298-6153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036086199) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |