| NPI | 1548696347 |
|---|---|
| Former Legal Business Name | THE CLINIC IN ALTGELD |
| Entity Type | Organization |
| Authorized Contact | ATIYAH HINLEY Billing COO Rdinator 773-995-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |