| NPI | 1164449823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIVARAMAPRASAD TUMMALA Vice President 708-424-2024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036048047) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-07-15 |