| NPI | 1144498544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE R WARD Apn Hf Clinic 708-684-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 209-005000) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-27 |