| NPI | 1396916151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIJANA SEFEROVIC President 773-907-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036113528) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2016-02-02 |