| NPI | 1427113679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH L GACCHINO Administrator Owner 708-343-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 0) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-07-21 |