| NPI | 1427488964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT HERNANDEZ Owner 773-225-0269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: IL 085-000601) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |