| 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 |