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 |