NPI | 1366628133 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA VILLASENOR Office Manager 630-369-6644 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036069044) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2011-07-11 |