| NPI | 1841482510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIL MALHOTRA President 708-349-9035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IL 070.009170) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |