| NPI | 1144473745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE M BURFORD-FOGGS MD SC Physician 312-926-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: IL 036072741) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2020-02-25 |