| NPI | 1770756942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA VERGHESE Owner 708-343-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036094498) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2023-03-07 |