| NPI | 1972784429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO LARA VALLE President 312-829-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |