| NPI | 1063557569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA AP SLOBODIAN President 708-848-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036074127) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-01-28 |