| NPI | 1255304382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT S ROSE President 773-564-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-10-26 |