| NPI | 1003994955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL TAIWO OLATUNBOSUN President 708-214-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 042617974) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |