NPI | 1114121209 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY CHATSKIS President 773-275-8042 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036098264) |
Enumeration Date | 2007-06-12 |
Last Update Date | 2014-11-24 |