| NPI | 1205019270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA SAYSON FERNANDEZ Medical Assistant 773-489-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2008-04-20 |