| NPI | 1295947430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY BONGIORNO Director Of Pharmacy Operations 773-395-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-07-21 |