| NPI | 1376786277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY J PISTERZI Director Of Residential Services 708-841-1071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 003650) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |