| NPI | 1073757571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALYAN SANDESARA President Of The Corporation 773-342-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036065899) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |