| NPI | 1013110444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DENISE GOODWIN-COLE President & CEO 708-424-2475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036076189) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-09-17 |