| Provider Type: |
Other Service Providers |
| Provider Classification: |
Specialist |
| Definition of Specialization: |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
|
| Address: |
2002 N Damen Ave
Chicago, IL 60647-4527 |
| Phone: |
(773) 486-6553 |
| Authorized Official: |
Dr. Cordero, Henry Lopez, M.D. |
| Authorized Official Position: |
Physician |
| Authorized Official Phone: |
(847) 277-1740 |
