| NPI | 1164263133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN RIVERON CRUZ Practice Manager 773-618-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-07-17 |