| NPI | 1609316389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA J RATCLIFFE Chief Executive Officer 773-779-8260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2018-02-17 |