| NPI | 1801827845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRZEJ P INDYK Medical Director 773-202-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2025-03-14 |