| NPI | 1063084366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY RODRIGUEZ Executive Director 773-451-0465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2022-12-27 |