| NPI | 1104400506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYAD HOUSHAN Chief Medical Officer 312-776-2415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |