| NPI | 1033233069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS PURAY Director 708-799-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 03646882) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036052610) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |