| NPI | 1619365061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR GARCIA Medical Director 815-714-2517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 036.124389) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |