| NPI | 1487058731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVARO ENCINAS Medical Director 773-888-2560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 042-620315) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |