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 |