| NPI | 1396018453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT A HALPER Authorized Official 312-942-7770 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2021-10-28 |