| NPI | 1902000722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD H KYI Medical Director 630-655-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036087383) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |