| NPI | 1114796687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYBELL RAMIREZ Fnp 773-704-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 213E00000X Podiatrist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2024-01-02 |