| NPI | 1467756908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SPOONER Director Of Business Office 630-978-9754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2010-12-24 |
| Last Update Date | 2012-04-11 |