| NPI | 1710066436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD H KYI Medical Director 708-423-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036087383) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |