| NPI | 1104242718 |
|---|---|
| Doing Business As | HOLY CROSS PHYSICIAN PAVILLION |
| Entity Type | Organization |
| Authorized Contact | JOHN E VAZQUEZ Cmo 773-257-6850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |