| NPI | 1164491692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIJMOHAN MALANI President 773-334-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036052869) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036056405) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-08-22 |