| NPI | 1104064260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE EUGENIO CARDENAS President 773-247-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036103295) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |