| NPI | 1508056664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON A CASTATOR Physician 630-595-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036111177) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |