| NPI | 1386976959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NDUDI C ANIEMEKA Properitor 773-378-4823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036085291) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036126142) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2011-05-04 |