NPI | 1205078839 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIS CAY THOMAS Physician 773-265-8540 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036098836) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036098836) |
Enumeration Date | 2009-03-27 |
Last Update Date | 2009-03-27 |