| NPI | 1851464549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA HENRIQUEZ Office Manager 630-238-9235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036087152) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036103673) |
| 208000000X Pediatrics (Licence: IL 036078267) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2024-08-02 |