| NPI | 1740512359 |
|---|---|
| Doing Business As | PROHEALTH MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | IVAN ROGER LOPEZ Owner 708-890-9115 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036109448) |
| Enumeration Date | 2010-02-06 |
| Last Update Date | 2022-09-13 |