| NPI | 1851500854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TADE O AKERE Practice Administrator 773-776-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036094343) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-05-10 |