| NPI | 1861491912 |
|---|---|
| Doing Business As | WESTERN FOSTER MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | IRENE I BRUSILOVSKY Office Manager 773-784-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-07-21 |