| NPI | 1275231813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDDHARTH TAMBAR Owner 773-348-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-23 |