| NPI | 1952820599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA HAUSER President 312-590-5372 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 174400000X Specialist (Licence: TX F0031) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2023-03-21 |