NPI | 1912397480 |
---|---|
Other Name | KEDZIE CLINIC |
Entity Type | Organization |
Authorized Contact | ROSE ROSARIO Authorized Official, Rcm & PFS 773-484-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 273Y00000X Rehabilitation Unit |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2015-02-04 |
Last Update Date | 2024-08-28 |