| NPI | 1144547118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN JERZY SKOLARZ Doctor 773-594-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036-085369) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2020-12-18 |