| NPI | 1710320361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA SYKES-BELLEMY Owner 773-642-3532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036123464) |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2013-04-14 |