| NPI | 1346993029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CORTEZ Clinical Operations Manager 773-389-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |