| NPI | 1679198014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ELLIS Director, Rev Perf And Audit Mgt 773-702-6890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |