| NPI | 1720404494 |
|---|---|
| Doing Business As | NORTH AND KOSTNER HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CUSH MVUDUDU Controller 312-337-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IL 2307802) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2023-01-27 |