| NPI | 1538341102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEDERICO ALIAGA Medical Director 773-762-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036074994) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036107607) |
| 208000000X Pediatrics (Licence: IL 036097752) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 361623198001) | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |