| NPI | 1538209077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA BORRAYO Director Of Patient Access 708-825-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IL 024) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-07-21 |