| NPI | 1407275399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA STANKIEWICZ President/Physician 773-205-8415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 042.620274) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |