| NPI | 1356642912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA THOMPSON Office Manager 708-344-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IL 036-050567) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2010-11-12 |