| NPI | 1144516535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHNU MADIREDDY Physician 773-772-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: IL 036091869) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2012-01-03 |