| NPI | 1861670762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURENDER ANA Manager 773-561-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036068929) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-03-07 |