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 |