| NPI | 1184805277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSIE RUTH WALKER THOMAS Owner 773-721-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036068920) |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2011-06-01 |