| NPI | 1760792790 |
|---|---|
| Doing Business As | PILSEN WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | FRANCISCO CISNEROS President/CEO 773-579-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2021-04-09 |