| NPI | 1467146100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE NAVIGATO Credentialing Coordinator 630-938-4011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-06 |