| NPI | 1194824797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES S GILBERT Sole Proprietor 312-263-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: IL 336-021767) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-01-16 |