| 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 |