| NPI | 1255427704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEJLA M. SUNJE Office Manager 773-506-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036103665) |
| Additional Taxonomies | 202K00000X (Licence: IL 036103665) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-02-26 |