| NPI | 1376662544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BOB ACHEBE Owner 773-333-5782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036054592) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-11-03 |