| NPI | 1235456591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH S NAVE President/Owner 708-699-0293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2011-09-13 |