| NPI | 1477331247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISHA DARKO Owner 773-729-9084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-21 |