| NPI | 1306914791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN JACKSON President 708-479-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036081595) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-09-18 |