| NPI | 1154629848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORAINE MORENO Senior Director 773-768-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal (Licence: IL 207Q00000) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |