| NPI | 1912930769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIO CABANA President 630-852-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 042-001840) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: IL 042001840) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-11-17 |