| NPI | 1013168020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH YORK Office Manager 773-445-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036045330) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |