| NPI | 1124449681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J PLUNKETT President 773-792-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2020-01-13 |