NPI | 1629102819 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA J HILL VP Finance CFO 630-978-2532 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2012-04-11 |