| NPI | 1568764777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS GONZALEZ OROZCO President 847-297-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IL 036-055907) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2010-11-19 |