| NPI | 1831488154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SZE KIN WONG President 312-842-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036078670) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |