| NPI | 1912918699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS RENE DADIVAS President 773-772-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: IL 036-053403) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |