| NPI | 1619133667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL O'GRADY Supervisor 708-403-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2022-07-21 |