| NPI | 1265611438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BRAUNSTEIN BRAUNSTEIN President 773-244-0485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2010-09-14 |