| NPI | 1376235150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN LACY President 773-707-1377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 171400000X |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 261QG0250X Clinic/Center Genetics | |
| 261QH0100X Clinic/Center Health Service | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QM2500X Clinic/Center Medical Specialty | |
| 291U00000X Clinical Medical Laboratory | |
| 332H00000X Eyewear Supplier | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |