| NPI | 1033381017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY JENKINS Billing Manager 312-953-0547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036088370) |
| Enumeration Date | 2008-03-30 |
| Last Update Date | 2008-03-30 |