| NPI | 1396799862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOHDAN FEDIRKO Owner 773-585-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2019-01-28 |