| NPI | 1407220015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHOOL LIYANAPATABENDI Owner 773-564-0524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036128738) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2016-01-22 |