| NPI | 1417065087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEROM PITTS Office Manager 312-842-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: 036048969) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |