| NPI | 1376700732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN COTTO Residency Coordinator 773-296-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |