| NPI | 1437312360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTE SMITH Chief Executive Officer 312-337-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2024-10-15 |