NPI | 1184653040 |
---|---|
Entity Type | Organization |
Authorized Contact | RAMON J CASTRO President 773-685-7816 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036083463) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036045354) |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 036039405) | |
Enumeration Date | 2006-07-02 |
Last Update Date | 2010-11-16 |