| NPI | 1952577926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILROY EMMANUEL Incorporator 773-736-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 042.619228) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |