NPI | 1316955644 |
---|---|
Doing Business As | INDEPENDENCE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | BENJAMIN ATKINSON President 773-793-1964 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 225100000X Physical Therapist |
111N00000X Chiropractor | |
207Q00000X Family Medicine | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2025-09-11 |