| NPI | 1255517298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAM STARR President 773-334-2223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036-069232) |
| Enumeration Date | 2008-01-19 |
| Last Update Date | 2008-03-13 |