| NPI | 1851413348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WALLENBERG Financial COO Rdinator 630-758-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-09-28 |