| NPI | 1306854021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON VASQUEZ CFO 773-947-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 042-005610) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 042-005610) |
| 207L00000X Anesthesiology (Licence: 042-005610) | |
| 207R00000X Internal Medicine (Licence: IL 042005610) | |
| 207X00000X Orthopaedic Surgery (Licence: IL 042-005610) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 042-005610) | |
| 207ZF0201X Pathology, Forensic Pathology (Licence: IL 042-005610) | |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: IL 042-005610) | |
| 207ZP0213X Pathology, Pediatric Pathology (Licence: IL 042-005610) | |
| 208000000X Pediatrics (Licence: IL 042-005610) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL 042-005610) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 042-005610) | |
| 208600000X Surgery (Licence: IL 042-005610) | |
| 208D00000X General Practice (Licence: IL 042-005610) | |
| 208M00000X Hospitalist (Licence: IL 042-005610) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-01-28 |