| NPI | 1194886754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON AFABLE Practice Administrator 773-472-5803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036061003) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2011-09-14 |