| NPI | 1255512976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MYLES MCCRAY Owner 708-783-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IL 036-064789) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2008-10-14 |