| NPI | 1124358197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JORDAN President 773-995-3463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |