| NPI | 1023210051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN KAY Medical Social Worker 312-864-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: IL 150009522) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-16 |