| NPI | 1780932061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY PENNINGTON Exec. VP Of Health 773-802-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2016-11-02 |