NPI | 1972623528 |
---|---|
Doing Business As | DUSABLE ADOLESCENT HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | SANDRA ANKEBRANT COO 312-864-0719 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: IL 0004549) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-08-22 |