| NPI | 1740861582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCHUSTERIC Practice Director 312-567-2092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QR0200X Clinic/Center, Radiology | |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-06-21 |