| NPI | 1194725192 |
|---|---|
| Other Name | CHICAGO DEPARTMENT OF PUBLIC HEALTH REVENUE 3200 |
| Entity Type | Organization |
| Authorized Contact | SARAI M JACKSON Director Of Revenue 312-747-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2008-05-27 |