NPI | 1356618037 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA JANINA BAGINSKI Physician 773-685-8622 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036086530) |
Enumeration Date | 2011-11-22 |
Last Update Date | 2012-03-23 |