| NPI | 1912172347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA D DIXIE President 312-339-3672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036073593) |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2015-02-27 |