| NPI | 1467820001 |
|---|---|
| Doing Business As | 3P4CARE AVONDALE |
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE WONG Director 773-654-1888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.094438) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |