NPI | 1790828507 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERON B. BROWN President 630-416-1375 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036083670) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2008-01-28 |