| NPI | 1902922115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GILLENWATER Program Manager 312-942-2859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: IL 000001917) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |