| NPI | 1063702991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F. OLIVIERI Vice President 708-473-5994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036073886) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180001829) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |