| NPI | 1376746198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN FOCA-MUNOZ Owner 773-376-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036094011) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2018-12-14 |