| NPI | 1093763500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDE MONETTE Office Manager 708-488-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-11-14 |