NPI | 1871773424 |
---|---|
Entity Type | Organization |
Authorized Contact | ARACELI ILAGAN FERIA President 708-636-6531 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036054271) |
Enumeration Date | 2007-11-13 |
Last Update Date | 2009-09-08 |