| NPI | 1659551943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ROBERT COLEMAN President 630-553-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 060-002199) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |