| NPI | 1407035611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JEAN ROBLEDO Owner 847-677-7502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 035100559) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2010-05-21 |