| NPI | 1144383084 |
|---|---|
| Doing Business As | SMG ANTILLAS FAMILY MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN E VAZQUEZ Cmo 773-257-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036048103) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036045280) |
| 208000000X Pediatrics (Licence: IL 036055442) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2013-06-18 |