NPI | 1215951785 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT H WATERS President 312-829-0850 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 152W00000X Optometrist |
156FX1800X Technician/Technologist, Optician | |
163WD0400X Registered Nurse, Diabetes Educator | |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
207W00000X Ophthalmology | |
207Y00000X Otolaryngology | |
208000000X Pediatrics | |
2085R0202X Radiology, Diagnostic Radiology | |
2085U0001X Radiology, Diagnostic Ultrasound | |
208800000X Urology | |
213E00000X Podiatrist | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2018-11-14 |