NPI | 1245542356 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER E FRIEDELL President 773-947-2828 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 042-617358) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 042-617358) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: IL 042-617358) | |
207V00000X Obstetrics & Gynecology (Licence: IL 042-617358) | |
208000000X Pediatrics (Licence: IL 042-617358) | |
208600000X Surgery (Licence: IL 042-617358) | |
Enumeration Date | 2010-07-06 |
Last Update Date | 2010-07-06 |