| NPI | 1962709253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORATHU THOMAS President 773-283-9594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy (Licence: IL 036053507) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-02-22 |