NPI | 1790830354 |
---|---|
Entity Type | Organization |
Authorized Contact | JANUARIO P ESTRADA President Owner 847-844-3199 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036074492) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2019-08-20 |