| NPI | 1386047397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE A ELMOSA President 708-699-7573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IL 036.119432) |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2014-10-04 |