| NPI | 1407458946 |
|---|---|
| Other Name | ESPERANZA 63RD ST. |
| Other Name | ESPERANZA AT VIDA PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | ZACHARY SPREITZER Director Of Finance 773-640-5785 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2023-08-02 |