| NPI | 1639557846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ZAPPA Owner 630-207-7982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: UT 91349421201) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |