| NPI | 1295853380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARZENA A. MISKOWIEC Office Manager 708-415-3705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036081828) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2015-03-02 |