COOK COUNTY

NPI # 

Practice Address:

15900 S Cicero

Oak Forest, IL, 60452

Practice Phone:

708-633-2000

License Number:

0001743

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Multi-Specialty

Taxonomy Code:

261QM1300X