NPI | 1447406665 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM MCCURRY Program Director 773-792-5155 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 125-054834) |
Enumeration Date | 2008-08-08 |
Last Update Date | 2008-08-25 |