| NPI | 1932301439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA RODRIGUEZ Chief Financial Officer 773-768-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: IL 1769357) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-04-20 |