| NPI | 1346423399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SORVEIN PRIETO Family Practice 773-619-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036118602) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2011-09-08 |