| NPI | 1154713980 |
|---|---|
| Other Name | LITTLE VILLAGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROSE ROSARIO Authorized Official, Rcm & PFS 773-484-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261Q00000X Clinic/Center | |
| 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2024-08-28 |