| NPI | 1578936696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA CLARKE CEO 773-995-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2019-10-16 |