| NPI | 1508018326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAPUSHETTY MADOORI President 708-590-9805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036057250) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2008-10-13 |