| NPI | 1487731824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH ASTROTH Owner/President 708-974-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 038-005582) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |