| NPI | 1639363344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PAUL IGOE Owner/Primary 708-442-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036071210) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2024-04-12 |