| NPI | 1417187675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARDSON Owner 708-478-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: IL 036088445) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |