| NPI | 1457471286 |
|---|---|
| Doing Business As | SOUTH WEST SUBURBAN SITE |
| Entity Type | Organization |
| Authorized Contact | PETER ANGELOS Site Director 781-401-9702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-08-27 |