NPI | 1588930861 |
---|---|
Entity Type | Organization |
Authorized Contact | RAMON ANGEL GONZALEZ Owner 847-392-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IL 036094195) |
Enumeration Date | 2012-03-30 |
Last Update Date | 2012-05-03 |