| NPI | 1851827349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRA GREATHOUSE President 708-264-8463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036114405) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |