| NPI | 1972936334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HETALKUMAR PATEL Owner 630-890-6102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 019027403) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |