| NPI | 1003058058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALGIRDAS KAVALIUNAS Provider 773-585-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036036207) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-11-03 |