| NPI | 1790247476 |
|---|---|
| Doing Business As | PRIMECARE BELMONT CRAGIN |
| Entity Type | Organization |
| Authorized Contact | ROBERT VANGILDER CFO 312-491-5034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-11 |