| NPI | 1699981886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR RIOS Doctor 773-521-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036048072) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-04-20 |