| NPI | 1699890483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA MARIA LEYVA President 630-645-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-17 |