NPI | 1427311562 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHALIE DENISE MCCAMMON-CHASE Director 708-358-0791 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036104978) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2013-02-26 |