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 |