| NPI | 1659550002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO PAULINO GONZALEZ President 773-637-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 1742318) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |