| NPI | 1003057712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SARA MEEKS Director 773-610-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-099950) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-08-18 |