| NPI | 1225338379 |
|---|---|
| Doing Business As | MANUEL O ROJAS |
| Entity Type | Organization |
| Authorized Contact | MANUEL O ROJAS Owner 773-582-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036049646) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036103907) |
| 261QP2300X Clinic/Center, Primary Care (Licence: IL 036117332) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |