NPI | 1144461385 |
---|---|
Doing Business As | ERIE CLEMENTE WILDCATS HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | GABRIELA NORENA Billing Department Suprevisor 312-432-7444 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IL 261QF0400X) |
Enumeration Date | 2009-03-18 |
Last Update Date | 2009-03-18 |