| NPI | 1013239672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A RUNKE Medical Director 312-201-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2013-01-22 |