| NPI | 1083710263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY A ROY President 773-878-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 3645111) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 3645111) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-10-03 |