| NPI | 1700470580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN BAILEY Finance Administration Manager 630-835-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2023-12-26 |