NPI | 1972784429 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIO LARA VALLE President 312-829-4636 |
Organization Subpart ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: IL 036045262) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: IL 042002574) |
Enumeration Date | 2007-11-26 |
Last Update Date | 2007-11-26 |