| 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 |