| NPI | 1053413807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA HAGAN President/CEO 708-423-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036110316) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |