| NPI | 1801264502 |
|---|---|
| Other Name | PMR ILLINOIS HOLDING LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHEN CEO 305-628-6117 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |