NPI | 1083701023 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK BERGER CEO 773-519-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 103T00000X Psychologist |
207Q00000X Family Medicine | |
Enumeration Date | 2006-10-10 |
Last Update Date | 2025-09-11 |