| NPI | 1134164841 |
|---|---|
| Doing Business As | SMG HOME PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JOHN E. VAZQUEZ Cmo 773-257-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036112813) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2013-05-29 |