| NPI | 1629128319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA HENRIQUEZ Office Manager 630-238-9235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036087152) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036103673) |
| 207Q00000X Family Medicine (Licence: IL 036107571) | |
| 208000000X Pediatrics (Licence: IL 036078267) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2011-04-07 |