| NPI | 1285164509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUSOLA AKINTUNDE OLOWE Director 312-933-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2022-07-21 |