NPI | 1396865077 |
---|---|
Doing Business As | NEAR SOUTH HEALTH CENER |
Entity Type | Organization |
Authorized Contact | SCOTT ANDRLE Director Of Managed Care Operations 312-864-4649 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 0004549) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2019-02-22 |