| NPI | 1770824161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHELLE HAMPTON Chief Executive Officer 312-399-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2014-12-21 |