NPI | 1073718748 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER F. SERPICO Physician Assistant Certified 312-608-6466 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: IL 085-000758) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2020-08-22 |