| NPI | 1346864337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LYNN FOUNTAIN VP Revenue Cycle 773-834-5895 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QI0500X Clinic/Center Infusion Therapy |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-11 |