| NPI | 1205019205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET I DAUPHIN-VAN DYK Doctor/Owner Of Practice 312-201-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036059705) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2022-08-31 |