| NPI | 1043485022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARDO SAAVEDRA Medical Director 773-521-8160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 1903784) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |