NPI | 1033838214 |
---|---|
Entity Type | Organization |
Authorized Contact | WANDA DENISE SMITH Patient Revenue Manager 312-337-1073 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare |
Additional Taxonomies | 251J00000X Nursing Care |
174200000X Meals | |
261Q00000X Clinic/Center | |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
261QH0100X Clinic/Center, Health Services | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QR1300X Clinic/Center, Rural Health | |
Enumeration Date | 2022-08-23 |
Last Update Date | 2022-08-23 |