| NPI | 1497097596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN BRODINE CEO 773-768-5000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |