| NPI | 1396271235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA E SCATCHELL Authorized Official 773-458-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-02-22 |