| NPI | 1003129024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC TCHAPTCHET Medical Director 773-731-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 364429828) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2011-02-10 |