| NPI | 1427060193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HENRY SEUBOLD President/Physician 630-963-3352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036058609) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |