| NPI | 1417704289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE MORTON Sr. Medical Director 773-733-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |