NPI | 1790912434 |
---|---|
Entity Type | Organization |
Authorized Contact | NEERAJ JAIN Owner 630-794-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 036082067) |
Enumeration Date | 2009-06-21 |
Last Update Date | 2013-05-08 |