NPI | 1346221553 |
---|---|
Doing Business As | NEAR NORTH HEALTH SERV KOMED |
Entity Type | Organization |
Authorized Contact | BERNEICE MILLS-THOMAS Executive 312-337-1073 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2021-07-21 |