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 |