NPI | 1366205122 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES A JOSEPH Owner 773-802-1177 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207Q00000X Family Medicine |
363L00000X Nurse Practitioner | |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-07-17 |