| NPI | 1457959140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ABAH Owner 773-603-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2023-04-13 |