| NPI | 1437407897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY TRAN Clinical Pharmacist 312-355-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IL 051291932) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |