| NPI | 1295006336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANAY WALTON CEO 773-496-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: IL 085.003736) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |