NPI | 1558812362 |
---|---|
Doing Business As | OLIVO WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | MARTHA DE SANTIAGO Nurse Practitioner 773-423-6178 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 209.014576) |
Enumeration Date | 2016-10-17 |
Last Update Date | 2016-10-17 |