| NPI | 1578644993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRANCIS MCVADY President 708-226-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 038-009 063) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |