| NPI | 1174644116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY RODRIGUEZ Office Manager 708-383-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-072555) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2018-05-02 |