NPI | 1053500843 |
---|---|
Entity Type | Organization |
Authorized Contact | URSULA GIERLACHOWSKI Owner 773-581-6336 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036087951) |
Enumeration Date | 2007-10-17 |
Last Update Date | 2008-02-25 |