| NPI | 1508030131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNETH JARAMILLO Sole Proprietor 773-227-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036100957) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |