NPI | 1871895474 |
---|---|
Entity Type | Organization |
Authorized Contact | JORGE E. MARTINEZ Owner 630-483-0665 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 036099034) |
Enumeration Date | 2010-12-02 |
Last Update Date | 2010-12-02 |