| 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 | 291U00000X Clinical Medical Laboratory (Licence: 14D1036623) |
| 251E00000X Home Health (Licence: IL 1010413) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2017-02-01 |