| NPI | 1376313791 |
|---|---|
| Doing Business As | PROVIDER SERVICES AT ST BERNARD |
| Entity Type | Organization |
| Authorized Contact | ROBERT C SPRINGER CFO 773-962-4210 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |