NPI | 1407283898 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY SPOONER A VP Of Clinic Support Services 630-978-2532 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-10-01 |
Last Update Date | 2013-10-01 |