| NPI | 1841046968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE MORTON MORTON Sr. Medical Director 312-733-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |