| NPI | 1275269672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE ABDULLAH CEO 773-512-6476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261Q00000X |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-07-27 |