| NPI | 1598120388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA HAUSER President 312-590-5372 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F0031) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2023-03-21 |