| NPI | 1053541391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME ALONSO MONTES Contracted Medical And Nursing Svcs 773-671-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine Obesity Medicine (Licence: FL OS10678) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: FL RN9304365) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2010-11-11 |