| NPI | 1447517362 |
|---|---|
| Doing Business As | LCMH CARE STATION PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | MARY H FREYER Chief Operating Officer 708-229-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-04-17 |