| NPI | 1457011306 |
|---|---|
| Doing Business As | HEALTHSQUAD |
| Entity Type | Organization |
| Authorized Contact | TEQUILLA STANCIEL Founder & Chief Medical Provider 312-860-4814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |