NPI | 1861671372 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISHNA S BATHINA Doctor 630-355-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036108950) |
Enumeration Date | 2007-10-31 |
Last Update Date | 2008-02-11 |