NPI | 1710120985 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD HAOCHUAN WANG President 312-532-7726 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036120765) |
Enumeration Date | 2009-04-17 |
Last Update Date | 2009-04-17 |