| NPI | 1649203092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ACQUAYE-AWAH President 773-643-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 152W00000X Optometrist |
| 183500000X Pharmacist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207W00000X Ophthalmology | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |