| NPI | 1528387099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA NIDA V BARINO President 630-914-7720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 336051420) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2023-03-14 |