NPI | 1114909363 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNIE JOHN President 773-989-3977 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-068169) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 209-003580) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2009-09-14 |