NPI | 1265739643 |
---|---|
Doing Business As | INTEGRACARE CLINIC |
Entity Type | Organization |
Authorized Contact | OTUONYE EZERIBE ONYEWUCHI President/CEO 773-933-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036118945) |
Enumeration Date | 2011-02-19 |
Last Update Date | 2020-11-10 |