| NPI | 1093952756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIUSZ WOJCIECH GADULA President 708-425-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2025-03-12 |