NPI | 1215327101 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS TARA BULAON DELOS REYES President 773-742-3941 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036130229) |
Enumeration Date | 2015-01-29 |
Last Update Date | 2015-01-29 |