NPI | 1023291077 |
---|---|
Entity Type | Organization |
Authorized Contact | ADEBAYO A BADEMOSI President 773-568-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036101658) |
Enumeration Date | 2007-12-13 |
Last Update Date | 2007-12-13 |