| NPI | 1891136149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SPOONER A VP Of Clinic Support Services 630-978-9754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-25 |