| 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 |