| NPI | 1518359991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODRIGUE MEYOU TINFANG President 708-977-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036114443) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2021-09-09 |