| NPI | 1235546037 |
|---|---|
| Doing Business As | SMG ARCHER POB 100 |
| Entity Type | Organization |
| Authorized Contact | JOHN E. VAZQUEZ Cmo 773-257-6850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |