NPI | 1326031998 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER JACKSON CFO 773-379-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2005-08-29 |
Last Update Date | 2022-07-21 |