| NPI | 1265644355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMEE MAJMUNDAR Physician 708-460-7355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: IL 036112759) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-08-04 |