| NPI | 1902073281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOMI ADEYEMI Medical Director 708-261-8614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036084629) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2023-08-24 |