| NPI | 1427600345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA MARIE LEVITSKE Director Of Finance 312-996-0566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |