NPI | 1740461664 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY W. DELORENZO Owner 630-655-9555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036089038) |
Enumeration Date | 2007-11-20 |
Last Update Date | 2020-08-24 |