| NPI | 1841703584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANUARY BERING SERRANO President/Owner 312-806-8102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2025-04-18 |