| NPI | 1134952443 |
|---|---|
| Other Name | HUMBOLDT PARK HEALTH |
| Entity Type | Organization |
| Authorized Contact | DOROTHY CHERYL ERINS Credentialing Manager 773-292-8200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |