| NPI | 1255444170 |
|---|---|
| Doing Business As | HISPANIC KIDS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL CUEVA President 773-767-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036085818) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |