NPI | 1497181697 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA D'ONORIO CEO 847-749-2284 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-09-19 |
Last Update Date | 2015-10-09 |