| NPI | 1851566251 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | CHANDRA MOHINI KHURANA Medical Director 773-837-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2015-03-04 |