| NPI | 1407070998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH M ROBERTS President 773-883-0723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 036-089445) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-07-16 |