| NPI | 1891162962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD W PARACHA CEO 773-761-0010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2022-08-22 |