| NPI | 1285975508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE RAMADAN Billing Manager 708-746-5779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036067968) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |