| NPI | 1740074525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREL J SALDANHA CEO 773-362-2917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-07-30 |