| NPI | 1003186255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A HALPER Authorized Official 312-942-7770 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2024-09-26 |