NPI | 1376589853 |
---|---|
Doing Business As | MIDWEST BEHAVIORAL |
Entity Type | Organization |
Authorized Contact | JOVITA CHIKEZE ANYANWU President 773-239-6569 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 0336072994) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2020-08-22 |