CREST CLINIC LLC

CHICAGO, IL
NPI1164750725
Entity TypeOrganization
Authorized ContactOBIDIKE AUGUSTINE NWAKUDU
President
708-323-7608
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036116618)
Enumeration Date2009-11-19
Last Update Date2014-11-26
Business Address
CREST CLINIC LLC
2219 W TAYLOR ST
CHICAGO, IL 60612-4424
Phone number: 708-323-7608
Mailing Address
CREST CLINIC LLC
2219 W TAYLOR ST
CHICAGO, IL 60612-4424
Phone number: 708-323-7608