NPI | 1154370005 |
---|---|
Doing Business As | ANCHOR OAK PARK MEDICAL |
Entity Type | Organization |
Authorized Contact | THERESA M DABEK Authorized Official 708-524-1674 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
Enumeration Date | 2006-05-09 |
Last Update Date | 2009-01-23 |