| NPI | 1578876645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUAN-MIN WANG President 630-932-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IL 038008809) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-10-25 |