| NPI | 1598984973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERIBERTO MARTINEZ President 708-780-1464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036093980) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036119790) |
| 207Q00000X Family Medicine (Licence: IL 036111596) | |
| 208000000X Pediatrics (Licence: IL 036093980) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2010-10-28 |