| NPI | 1972926145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR OLAWALE MENSAH Medical Director/CEO 630-945-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: IL 036-116775) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-02-13 |