| NPI | 1205621158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLYE PECHULIS CEO 708-690-1911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 208D00000X General Practice | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-07-31 |