| NPI | 1982148383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA T BELLOSA Owner 708-425-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036053389) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |