NPI | 1407824006 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA B LOEB Owner/Doctor 630-963-9667 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 042616816) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2020-08-22 |