| NPI | 1306031885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIENVENIDO TECSON LAMORENA Vice President And Treasurer 773-626-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |