| NPI | 1023277019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSITA DOYLE Billing Consultant 773-846-9521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036050538) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |