| NPI | 1215328844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SIMON THOMAS Physician 773-620-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036068845) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |