| NPI | 1841512316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS G DUARTE Medical Director 630-208-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: IL 0360865376) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2011-01-05 |