| NPI | 1104925163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ZOFKIE Practice Administrator 708-398-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 042618498) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2022-07-12 |