| NPI | 1144382201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHANA L GANESAN Physician 708-405-6200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 042-617802) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2011-11-14 |