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 |