| NPI | 1255305157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS FRANK PEDRERA President 773-278-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036051754) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2011-07-27 |