| NPI | 1689001414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS R. MUNOZ Medical Director 7733-810-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: IL 036-075843) |
| Enumeration Date | 2013-10-13 |
| Last Update Date | 2013-10-13 |