NPI | 1134208861 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA THOMPSON CEO 312-526-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2011-01-26 |