| NPI | 1043327091 |
|---|---|
| Doing Business As | NILES MEDICAL ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | LEN DEDIC Vice President 708-583-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-01-31 |