| NPI | 1407953607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU V. IVANOVIC Md./Owner 708-488-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-04-05 |