NPI | 1932375169 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN BAUER Executive Director 312-795-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-05-07 |
Last Update Date | 2015-10-30 |