NPI | 1639340292 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT CRAIG DEMKE President 630-483-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036051067) |
Enumeration Date | 2008-03-21 |
Last Update Date | 2008-05-06 |