| NPI | 1801476502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA SKOBEL CEO 708-942-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-13 |