| NPI | 1861405177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL BOCKRATH President 630-369-1572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036-066425) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-054923) |
| 174400000X Specialist (Licence: IL 036-090448) | |
| 174400000X Specialist (Licence: IL 036-099752) | |
| 174400000X Specialist (Licence: IL 036-090506) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-12-12 |