| NPI | 1861689366 |
|---|---|
| Doing Business As | JOSE DE DIEGO SCHOOL BASED HLTH |
| Entity Type | Organization |
| Authorized Contact | GABRIELA NORENA Billing Department Supervisor 312-432-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2008-06-02 |