| NPI | 1144413766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI KUTOM President 708-229-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 36076049) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2011-09-13 |