| NPI | 1376735779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON GREENSPAN Medical Director 773-975-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036101234) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |