| NPI | 1982158036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARIA GALE President 312-944-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036.092949) |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2016-08-06 |