| NPI | 1851724843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HANSON Owner/Doctor 630-230-6416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: IL 038.012477) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |