| NPI | 1275882235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MIDDLETON Owner 312-399-7185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036103921) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |