| NPI | 1841467008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL BELLAMY-PEYTON President/Owner 708-423-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036078773) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: IN 01059573A) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |