| NPI | 1730254616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD NNAMDI OKAGBUE Medical Director 773-385-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036095405) |
| Enumeration Date | 2006-11-23 |
| Last Update Date | 2020-08-22 |