| NPI | 1316132764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED ZAR Residency Director 312-996-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036119307) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |