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 |