| NPI | 1710175880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVADOR RODOLFO GUTIERREZ President 773-489-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 042618255) |
| Enumeration Date | 2007-10-14 |
| Last Update Date | 2007-10-25 |