NPI | 1366983611 |
---|---|
Entity Type | Organization |
Authorized Contact | DZIFAA KOFI LOTSU Physician 312-929-3140 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036132916) |
Enumeration Date | 2017-03-19 |
Last Update Date | 2018-10-12 |