| NPI | 1649578238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO MARTIN CALUAG President 708-345-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036096640) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-25 |