| NPI | 1659777530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO MARRA Owner 708-755-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036038919) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |