| NPI | 1063566487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GEORGE DELIS President 312-593-0713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036091115) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |