| NPI | 1891142451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WILLIS CEO 773-751-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2023-10-04 |