| NPI | 1144731944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JEFFERSON-WALKER Owner/CEO 773-985-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 209010507) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2018-03-17 |