| NPI | 1124228424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMODE K KESHAVA Director 773-783-8793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036094000) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2010-06-29 |