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 |