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 |