| NPI | 1497251037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BRUNO Office Manager 312-763-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 03656168) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |