NPI | 1710296603 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRYK J ROZTOCZYNSKI President 773-745-8434 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036058369) |
Enumeration Date | 2010-09-27 |
Last Update Date | 2015-10-21 |