| NPI | 1003177320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELMA SMITH Manager 708-356-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |