| NPI | 1720436496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHWALEK Head Pharmacist 773-348-8079 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: IL 051027181) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: IL 051027181) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |