NPI | 1558579243 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN C. SCHULTZ President 708-383-6366 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036-052205) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2012-11-26 |