| NPI | 1578897831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE ENGELMANN Owner 630-947-2896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A10907) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |