| NPI | 1184189672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD BECKETT Medical Director 708-341-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |