| NPI | 1730436452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MAZIARKA Chief Financial Officer 773-768-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: IL 149015413) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |