| NPI | 1124215223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAWEL K KWIECINSKI President 773-283-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036069086) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |