NPI | 1700230398 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH MOLDOVAN CFO/COO 312-491-5034 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-04-20 |
Last Update Date | 2017-10-26 |