| NPI | 1366620981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHU-KWAN AUGUSTINE WONG Director 773-254-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036-094438) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |