| NPI | 1306105374 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | NASTANE LE BEC Director 773-808-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |