NPI | 1720320849 |
---|---|
Entity Type | Organization |
Authorized Contact | WARREN BRODINE CEO 773-768-5000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-03-27 |
Last Update Date | 2013-03-27 |