| NPI | 1407038805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO SALVATIERRA SAJOR President 773-378-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036070414) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |