NPI | 1073799771 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID J. ZEIGER Medical Director 312-255-9444 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 336-042392) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2008-01-14 |