| 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 |