NPI | 1356963417 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTHA I ATALLA Md 630-935-7306 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2020-05-12 |
Last Update Date | 2020-11-24 |