| NPI | 1558668863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOJCIECH GRZESKOWIAK Director 773-631-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036082984) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |