| NPI | 1982669735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE CHRISTINA ODONNELL Np 312-469-3962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 209002776) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2008-07-02 |