| NPI | 1487801890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKI KIM VILLARREAL President 312-218-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 0380112233) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-11-18 |