| NPI | 1134217797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI V HUCK President Of Corporation 773-334-7581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |