| NPI | 1891965646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO A JARAVA President 312-421-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036094915) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |