| NPI | 1093169872 |
|---|---|
| Doing Business As | WHITE PHOENIX MEDICAL |
| Entity Type | Organization |
| Authorized Contact | WESLEY VALDES President 312-388-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |