| NPI | 1992793467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KNAPP Owner 773-254-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 054009097) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2008-04-20 |