| NPI | 1205071818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE FERMIN SAHIG President 708-481-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: IL 036.036524) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2009-01-02 |