NPI | 1780879023 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA THOMPSON CEO 312-526-2051 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: IL E9983542805) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-09-10 |
Last Update Date | 2018-12-10 |