| NPI | 1548430069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL D LEUNG Medical Director 312-326-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036062409) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-04-28 |