| NPI | 1336267467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO CONSALTER CEO 312-550-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-12-22 |