NPI | 1649527383 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTONI A PIERGIES President 847-848-1525 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: IL 036.069721) |
Enumeration Date | 2012-08-13 |
Last Update Date | 2023-09-14 |