| NPI | 1386729754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD H KYI Medical Director 708-349-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036064314) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |