| NPI | 1316123961 |
|---|---|
| Former Legal Business Name | EDITH CHAFFIN MD |
| Entity Type | Organization |
| Authorized Contact | EDITH CHAFFIN Owner/President 773-487-3017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036067419) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2020-06-03 |