| NPI | 1205011822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN CASPER Owner 773-445-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036066773) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036066773) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-12-03 |