| NPI | 1922364918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN DEAN-ONAYEMI Medical Doctor 773-238-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036-065557) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |