| NPI | 1134750995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE LUMENE Healthcare Business Consultant 224-623-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2022-11-14 |