| 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 |