NPI | 1316206733 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH ZBIGNIEW PUDLO Physician/Owner 773-631-2442 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-072100) |
Enumeration Date | 2012-05-04 |
Last Update Date | 2012-05-15 |