| NPI | 1093131518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANA MALIK Nurse Practitioner 773-988-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 209.006425) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: IL 041.331241) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |