NPI | 1164750725 |
---|---|
Entity Type | Organization |
Authorized Contact | OBIDIKE AUGUSTINE NWAKUDU President 708-323-7608 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036116618) |
Enumeration Date | 2009-11-19 |
Last Update Date | 2014-11-26 |