| NPI | 1780957654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DEHERRERA-CODO Owner 630-848-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IL 03-6082140) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |