| NPI | 1033480413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ZEIGER Medical Director 312-255-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: IL 036079383) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |