| NPI | 1104943406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMALA ARABOLU GHAEY Director 773-685-3288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 036061313) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |