NPI | 1366743924 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY DELNERO 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 | 2019-04-05 |