| NPI | 1184196958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN V VILLABONA Owner 312-307-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2019-10-08 |