NPI | 1417148685 |
---|---|
Entity Type | Organization |
Authorized Contact | YVONNE L BURNETT Pres/Owner 708-383-4444 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: IL 03655851) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2007-08-05 |