| NPI | 1598086399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE B MAYER Director 773-775-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036067899) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-08-06 |