| NPI | 1407000276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA E BRINKMAN Social Worker 630-232-1946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2009-03-31 |