| NPI | 1861750036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ANN PEOPLES President 708-383-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: IL 036075404) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |