NPI | 1780913939 |
---|---|
Entity Type | Organization |
Authorized Contact | PARVEEN VARMA Medical Director 630-945-3912 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: IL 036.078826) |
Enumeration Date | 2009-12-17 |
Last Update Date | 2009-12-17 |