NPI | 1821346115 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER J NORDLOH CFO 708-747-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-08-17 |
Last Update Date | 2013-02-27 |