| NPI | 1508854969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE MARIE BLAIN President 630-832-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 42003094) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |