| NPI | 1134345267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIEN LANCE GASTON President 773-238-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036071497) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2010-04-29 |