NPI | 1841804879 |
---|---|
Doing Business As | DEVON POLY CLINIC |
Entity Type | Organization |
Authorized Contact | MOHAMED S SIRAJUDEEN CEO 773-521-6666 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2020-09-08 |
Last Update Date | 2022-07-08 |