| NPI | 1952469579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH G LEIJA President Owner 708-450-5054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 03635559) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |