| NPI | 1194971929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM P MATHEW President 708-687-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036088194) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |