| NPI | 1013185750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R OLDEN Physician 708-748-6775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: IN 02000380A) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2010-06-03 |