| NPI | 1730310251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE KATHLEEN GRIFFIN Delegated Official 312-567-5593 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: IL 0001578) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: IL 771115016) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2017-07-13 |