| NPI | 1689848541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGNACIO UY OMENGAN Doctor/Owner 815-394-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IL 036101370) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |