NPI | 1083826713 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN R BURKE Physican President 708-748-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 042.616914) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2009-12-29 |