| NPI | 1851584395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE H SCHULTZ President 630-393-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: IL 036-115932) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |