NPI | 1437440229 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN MCGINNIS CEO 312-491-5085 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2011-04-27 |
Last Update Date | 2019-03-04 |