NPI | 1346324555 |
---|---|
Entity Type | Organization |
Authorized Contact | EZEQUIEL MENDEZ HUERTA President 773-523-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036089095) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2020-08-22 |