| NPI | 1053518720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA SAUCEDO Office Administrator 773-522-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036040997) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-03-19 |