| NPI | 1659738730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTORT GARCIA Director Of Operations 630-428-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |