| NPI | 1558752568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRADO CRUZ President 847-983-8356 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |