| NPI | 1215058656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILAS KHANDEPARKER President 773-581-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036047940) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 036047939) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-10-02 |