| NPI | 1881063949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERCY CONRAD MAY Physician 773-533-1417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036038263) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |