| NPI | 1013285477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA AKHIGBE Pediatrician 773-994-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036085642) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |