| NPI | 1023094463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATA S BEDNARSKA Medical Doctor 773-763-7522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036096069) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-08-22 |