NPI | 1073755021 |
---|---|
Entity Type | Organization |
Authorized Contact | AFIZ ADEWALE TAIWO President 708-334-9494 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 042617704) |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 042617704) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2009-04-06 |