| NPI | 1184757353 |
|---|---|
| Former Legal Business Name | THE CLINIC IN ALTGELD |
| Entity Type | Organization |
| Authorized Contact | VERONICA E CLARKE CEO 773-995-6300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2019-10-16 |