| NPI | 1134258916 |
|---|---|
| Doing Business As | INFANT WELFARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH B LIPPITT Executive Director 708-848-0528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |