| NPI | 1245497346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMAR M KALIANA President 773-493-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 036045238) |
| Enumeration Date | 2008-05-18 |
| Last Update Date | 2008-05-18 |