| NPI | 1477833838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEL DAVID Director 312-744-1906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IL 390200000X) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |