| NPI | 1073847893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER AKANO Administrator 773-368-3499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: IL 336055456) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |