NPI | 1710958533 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIETA MITRA President/Secretary/Treasurer 708-798-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: IL 1011897) |
Additional Taxonomies | 251E00000X Home Health (Licence: IL 1010413) |
291U00000X Clinical Medical Laboratory (Licence: 14D1036623) | |
Enumeration Date | 2006-01-30 |
Last Update Date | 2017-02-01 |