| NPI | 1841333788 |
|---|---|
| Doing Business As | LCMH MOBILE MEDICAL PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MARY FREYER Chief Operating Officer 708-229-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2010-03-16 |