| NPI | 1013334002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD W PARACHA Executive Director 773-761-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2015-11-03 |