| NPI | 1952532269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESMOND MARTELLO President 708-425-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: IL 038-006379) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-09-29 |