| NPI | 1538341771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M MATHEU President Physician 708-424-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036043488) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036044456) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |