| NPI | 1801691100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HUSS Office/Billing Manager 630-322-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |