| NPI | 1114341567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MOLINA FURLONG President 773-414-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036110737) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-04-16 |