NPI | 1023507639 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY M SPOONER A VP Of Patient Financial Services 630-978-2532 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-05-09 |
Last Update Date | 2018-05-09 |