| NPI | 1245992767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER CORPUZ Chief Executive Officer 312-829-6304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 174H00000X Health Educator |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-12-03 |