| NPI | 1558541433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON D MEIER Owner/Physician 708-466-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME100257) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-06-17 |