| NPI | 1972959054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADWOA BOATEMA DARKWA Clinical Pharmacist 773-881-5632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 051294363) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |