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 |