| NPI | 1003158981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN ENEFIOK EKONG President/CEO 773-264-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036062189) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |