| NPI | 1720279532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS VILLAMIZAR-ZUNIGA President 773-521-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036099103) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |