| NPI | 1245671015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD OKEM OGON Physician/ Medical D Irector 773-983-2866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: PA MD436175) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-12-15 |