| NPI | 1407183734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECHARA CHOUCAIR Executive/Medical Director 773-751-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |