| NPI | 1386121283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LADOCHI Operations Partner 773-897-0800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2022-03-07 |