| NPI | 1447061007 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | IBIANG OBETEN Organization Cordinator 312-600-4404  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 172V00000X Community Health Worker | 
| Additional Taxonomies | 251B00000X Case Management | 
| Enumeration Date | 2025-01-14 | 
| Last Update Date | 2025-01-14 |