| NPI | 1013254341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR L SALCEDO Family Practitioner 773-227-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036128912) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |