| NPI | 1891936324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD MCNAIR Medical Director 773-220-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036109936) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2012-10-19 |