| NPI | 1164713129 |
|---|---|
| Doing Business As | ERIE AMUNDSEN SCHOOL BASE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | GABRIELA NORENA Patient Account Supervisor 312-432-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IL 261QF0400X) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |