NPI | 1891995668 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK ZAKER Owner/President 708-237-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IL 0468268) |
Enumeration Date | 2007-07-20 |
Last Update Date | 2007-07-20 |