NPI | 1093087272 |
---|---|
Entity Type | Organization |
Authorized Contact | YOMI ADEYEMI Medical Director 708-403-4898 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL B-011751) |
Enumeration Date | 2012-02-02 |
Last Update Date | 2012-02-02 |