NPI | 1386826733 |
---|---|
Entity Type | Organization |
Authorized Contact | SYLVIA GARCIA-BEACH President/Owner 815-464-9655 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-085569) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2008-03-03 |