| NPI | 1356543102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONNY GARCHA Anesthesia Resident 312-375-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036-114300) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |