NPI | 1407458946 |
---|---|
Other Name | ESPERANZA 63RD ST. |
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 | 2025-07-25 |