| NPI | 1760499545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE FRANCIS Pesident And CEO 312-432-7394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-11-02 |