| NPI | 1396916409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL JAEN ALCORDO President 708-945-6328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036083285) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2010-12-06 |