| NPI | 1659664936 |
|---|---|
| Doing Business As | MIDWEST FAMILY & SPORTS MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | RUBY MANN Director 630-856-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2013-02-15 |