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 |