| NPI | 1134446065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON C CHAVEZ Owner/Physician 773-342-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036079016) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2021-11-18 |